Organization Active NPI

North American Home Health Supply

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1730137951
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50164 Issued in CA
Legal business name
NORTH AMERICAN HOME HEALTH SUPPLY
Practice address
16129 Cohasset St
Van Nuys, CA 91406-2908
Phone
(818) 782-3757
Fax
(800) 531-3344
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell Fichera, RPH
Title
Sr. VP, Treasurer
Phone
(631) 870-5100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50164 CA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

16129 Cohasset St
Van Nuys, CA 91406-2908

Mailing address

PO Box 637299
Cincinnati, OH 45263-0001
Phone (800) 218-5604

Other identifiers 2

IdentifierTypeStateIssuer
0525800OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA 50164MedicaidCA

Other names 1

  • NORTH AMERICAN PHCY Doing business as

National Provider Directory

National Provider Directory

Locations

16129 Cohasset St
Van Nuys, CA 91406
Phone (818) 782-3757

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1730137951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637299",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "800-218-5604",
            "fax_number": "631-249-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16129 COHASSET ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062908",
            "telephone_number": "818-782-3757",
            "fax_number": "800-531-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AMERICAN HOME HEALTH SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "FICHERA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SR. VP, TREASURER",
        "authorized_official_telephone_number": "631-870-5100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50164",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0525800",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 50164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH AMERICAN PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.